Reproductive health issues in rural Western Kenya
Identifieur interne : 000534 ( Ncbi/Curation ); précédent : 000533; suivant : 000535Reproductive health issues in rural Western Kenya
Auteurs : Anna M. Van Eijk [Pays-Bas, États-Unis] ; Kim A. Lindblade [États-Unis] ; Frank Odhiambo [Kenya] ; Elizabeth Peterson [États-Unis] ; Evallyne Sikuku [Kenya] ; John G. Ayisi [Kenya] ; Peter Ouma [Kenya] ; Daniel H. Rosen [Zimbabwe] ; Laurence Slutsker [États-Unis]Source :
- Reproductive Health [ 1742-4755 ] ; 2008.
Abstract
We describe reproductive health issues among pregnant women in a rural area of Kenya with a high coverage of insecticide treated nets (ITNs) and high prevalence of HIV (15%).
We conducted a community-based cross-sectional survey among rural pregnant women in western Kenya. A medical, obstetric and reproductive history was obtained. Blood was obtained for a malaria smear and haemoglobin level, and stool was examined for geohelminths. Height and weight were measured.
Of 673 participants, 87% were multigravidae and 50% were in their third trimester; 41% had started antenatal clinic visits at the time of interview and 69% reported ITN-use. Malaria parasitemia and anaemia (haemoglobin < 11 g/dl) were detected among 36% and 53% of the women, respectively. Geohelminth infections were detected among 76% of the 390 women who gave a stool sample. Twenty percent of women were underweight, and sixteen percent reported symptoms of herpes zoster or oral thrush in the last two months. Nineteen percent of all women reported using a contraceptive method to delay or prevent pregnancy before the current pregnancy (injection 10%, pill 8%, condom 0.4%). Twenty-three percent of multigravidae conceived their current pregnancy within a year of the previous pregnancy. More than half of the multigravidae (55%) had ever lost a live born child and 21% had lost their last singleton live born child at the time of interview.
In this rural area with a high HIV prevalence, the reported use of condoms before pregnancy was extremely low. Pregnancy health was not optimal with a high prevalence of malaria, geohelminth infections, anaemia and underweight. Chances of losing a child after birth were high. Multiple interventions are needed to improve reproductive health in this area.
Url:
DOI: 10.1186/1742-4755-5-1
PubMed: 18348726
PubMed Central: 2291034
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000D29
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :000D28
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :002943
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :000534
Links to Exploration step
PMC:2291034Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reproductive health issues in rural Western Kenya</title>
<author><name sortKey="Van Eijk, Anna M" sort="Van Eijk, Anna M" uniqKey="Van Eijk A" first="Anna M" last="Van Eijk">Anna M. Van Eijk</name>
<affiliation wicri:level="4"><nlm:aff id="I1">Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Centre, University of Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Centre, University of Amsterdam</wicri:regionArea>
<placeName><settlement type="city">Amsterdam</settlement>
<region>Hollande-Septentrionale</region>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="I4">Vermont Department of Health, Burlington, VT, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Vermont Department of Health, Burlington, VT</wicri:regionArea>
<placeName><region type="state">Vermont</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lindblade, Kim A" sort="Lindblade, Kim A" uniqKey="Lindblade K" first="Kim A" last="Lindblade">Kim A. Lindblade</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA</wicri:regionArea>
<wicri:noRegion>Atlanta GA</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Odhiambo, Frank" sort="Odhiambo, Frank" uniqKey="Odhiambo F" first="Frank" last="Odhiambo">Frank Odhiambo</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu</wicri:regionArea>
<wicri:noRegion>Kisumu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Peterson, Elizabeth" sort="Peterson, Elizabeth" uniqKey="Peterson E" first="Elizabeth" last="Peterson">Elizabeth Peterson</name>
<affiliation wicri:level="2"><nlm:aff id="I4">Vermont Department of Health, Burlington, VT, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Vermont Department of Health, Burlington, VT</wicri:regionArea>
<placeName><region type="state">Vermont</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sikuku, Evallyne" sort="Sikuku, Evallyne" uniqKey="Sikuku E" first="Evallyne" last="Sikuku">Evallyne Sikuku</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu</wicri:regionArea>
<wicri:noRegion>Kisumu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ayisi, John G" sort="Ayisi, John G" uniqKey="Ayisi J" first="John G" last="Ayisi">John G. Ayisi</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu</wicri:regionArea>
<wicri:noRegion>Kisumu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ouma, Peter" sort="Ouma, Peter" uniqKey="Ouma P" first="Peter" last="Ouma">Peter Ouma</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu</wicri:regionArea>
<wicri:noRegion>Kisumu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rosen, Daniel H" sort="Rosen, Daniel H" uniqKey="Rosen D" first="Daniel H" last="Rosen">Daniel H. Rosen</name>
<affiliation wicri:level="1"><nlm:aff id="I5">Global Aids Program, Centers for Disease Control and Prevention, Zimbabwe</nlm:aff>
<country xml:lang="fr">Zimbabwe</country>
<wicri:regionArea>Global Aids Program, Centers for Disease Control and Prevention</wicri:regionArea>
<wicri:noRegion>Centers for Disease Control and Prevention</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Slutsker, Laurence" sort="Slutsker, Laurence" uniqKey="Slutsker L" first="Laurence" last="Slutsker">Laurence Slutsker</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA</wicri:regionArea>
<wicri:noRegion>Atlanta GA</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">18348726</idno>
<idno type="pmc">2291034</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2291034</idno>
<idno type="RBID">PMC:2291034</idno>
<idno type="doi">10.1186/1742-4755-5-1</idno>
<date when="2008">2008</date>
<idno type="wicri:Area/Pmc/Corpus">000D29</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D29</idno>
<idno type="wicri:Area/Pmc/Curation">000D28</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D28</idno>
<idno type="wicri:Area/Pmc/Checkpoint">002943</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002943</idno>
<idno type="wicri:Area/Ncbi/Merge">000534</idno>
<idno type="wicri:Area/Ncbi/Curation">000534</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Reproductive health issues in rural Western Kenya</title>
<author><name sortKey="Van Eijk, Anna M" sort="Van Eijk, Anna M" uniqKey="Van Eijk A" first="Anna M" last="Van Eijk">Anna M. Van Eijk</name>
<affiliation wicri:level="4"><nlm:aff id="I1">Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Centre, University of Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Centre, University of Amsterdam</wicri:regionArea>
<placeName><settlement type="city">Amsterdam</settlement>
<region>Hollande-Septentrionale</region>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="I4">Vermont Department of Health, Burlington, VT, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Vermont Department of Health, Burlington, VT</wicri:regionArea>
<placeName><region type="state">Vermont</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lindblade, Kim A" sort="Lindblade, Kim A" uniqKey="Lindblade K" first="Kim A" last="Lindblade">Kim A. Lindblade</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA</wicri:regionArea>
<wicri:noRegion>Atlanta GA</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Odhiambo, Frank" sort="Odhiambo, Frank" uniqKey="Odhiambo F" first="Frank" last="Odhiambo">Frank Odhiambo</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu</wicri:regionArea>
<wicri:noRegion>Kisumu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Peterson, Elizabeth" sort="Peterson, Elizabeth" uniqKey="Peterson E" first="Elizabeth" last="Peterson">Elizabeth Peterson</name>
<affiliation wicri:level="2"><nlm:aff id="I4">Vermont Department of Health, Burlington, VT, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Vermont Department of Health, Burlington, VT</wicri:regionArea>
<placeName><region type="state">Vermont</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sikuku, Evallyne" sort="Sikuku, Evallyne" uniqKey="Sikuku E" first="Evallyne" last="Sikuku">Evallyne Sikuku</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu</wicri:regionArea>
<wicri:noRegion>Kisumu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ayisi, John G" sort="Ayisi, John G" uniqKey="Ayisi J" first="John G" last="Ayisi">John G. Ayisi</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu</wicri:regionArea>
<wicri:noRegion>Kisumu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ouma, Peter" sort="Ouma, Peter" uniqKey="Ouma P" first="Peter" last="Ouma">Peter Ouma</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu, Kenya</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Centre for Global Health Research, Kenya Medical Research Institute, P.O. Box 1578, Kisumu</wicri:regionArea>
<wicri:noRegion>Kisumu</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rosen, Daniel H" sort="Rosen, Daniel H" uniqKey="Rosen D" first="Daniel H" last="Rosen">Daniel H. Rosen</name>
<affiliation wicri:level="1"><nlm:aff id="I5">Global Aids Program, Centers for Disease Control and Prevention, Zimbabwe</nlm:aff>
<country xml:lang="fr">Zimbabwe</country>
<wicri:regionArea>Global Aids Program, Centers for Disease Control and Prevention</wicri:regionArea>
<wicri:noRegion>Centers for Disease Control and Prevention</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Slutsker, Laurence" sort="Slutsker, Laurence" uniqKey="Slutsker L" first="Laurence" last="Slutsker">Laurence Slutsker</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Parasitic Diseases, National Centre for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta GA</wicri:regionArea>
<wicri:noRegion>Atlanta GA</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Reproductive Health</title>
<idno type="eISSN">1742-4755</idno>
<imprint><date when="2008">2008</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>We describe reproductive health issues among pregnant women in a rural area of Kenya with a high coverage of insecticide treated nets (ITNs) and high prevalence of HIV (15%).</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>We conducted a community-based cross-sectional survey among rural pregnant women in western Kenya. A medical, obstetric and reproductive history was obtained. Blood was obtained for a malaria smear and haemoglobin level, and stool was examined for geohelminths. Height and weight were measured.</p>
</sec>
<sec><title>Results</title>
<p>Of 673 participants, 87% were multigravidae and 50% were in their third trimester; 41% had started antenatal clinic visits at the time of interview and 69% reported ITN-use. Malaria parasitemia and anaemia (haemoglobin < 11 g/dl) were detected among 36% and 53% of the women, respectively. Geohelminth infections were detected among 76% of the 390 women who gave a stool sample. Twenty percent of women were underweight, and sixteen percent reported symptoms of herpes zoster or oral thrush in the last two months. Nineteen percent of all women reported using a contraceptive method to delay or prevent pregnancy before the current pregnancy (injection 10%, pill 8%, condom 0.4%). Twenty-three percent of multigravidae conceived their current pregnancy within a year of the previous pregnancy. More than half of the multigravidae (55%) had ever lost a live born child and 21% had lost their last singleton live born child at the time of interview.</p>
</sec>
<sec><title>Conclusion</title>
<p>In this rural area with a high HIV prevalence, the reported use of condoms before pregnancy was extremely low. Pregnancy health was not optimal with a high prevalence of malaria, geohelminth infections, anaemia and underweight. Chances of losing a child after birth were high. Multiple interventions are needed to improve reproductive health in this area.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
</listBibl>
</div1>
</back>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Ncbi/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000534 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd -nk 000534 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaSubSaharaV1 |flux= Ncbi |étape= Curation |type= RBID |clé= PMC:2291034 |texte= Reproductive health issues in rural Western Kenya }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/RBID.i -Sk "pubmed:18348726" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd \ | NlmPubMed2Wicri -a SidaSubSaharaV1
This area was generated with Dilib version V0.6.32. |